Individual
PRIYA P. KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3409
(812) 331-3656
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 331-3409
(812) 331-3656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01056352A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200410050
—
IN
Enumeration date
06/16/2005
Last updated
12/17/2020
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